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A Retrospective Sectional Study about the Effect of the Interaction of Herbal Medicines and Warfarin on Prothrombin Time(INR) in Stroke Patients (뇌경색 입원환자대상으로 한약과 Warfarin 의 복합 투여시 미치는 Prothrombin Time (INR) 의 변화에 대한 후향적 단면연구)

  • Lee, Sang-Hun;Kim, Young-Seok;Kang, Chul-Ho;Song, Mun-Gu;Doo, Ho-Kyung;Ahn, Se-Young;Ahn, Young-Min;Lee, Byung-Cheol
    • The Journal of Internal Korean Medicine
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    • v.28 no.3
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    • pp.464-472
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    • 2007
  • Objectives : Nowadays the combined use of oriental herbal medicines and western biomedical medicines has been prevalent but controversial. Warfarin has been much reported to interact with some herbal medicines so that it influences prothrombin time(PT) & international normalized ratio(INR). This study was aimed to examine how much warfarin interacts with herbal medicines during treatment of stroke patients Methods : This was a retrospective case control study of 53 patients whowere treated with concomitant treatment of herbal medicines & warfarin. They were within normal limit in liver function, renal function, hematocrit, hemoglobin, and platelet count at first admission lab. We classified them into 2 classes: study group (taking herbal medicines including Panax ginseng, Angelica sinensis, Zingiber officinale, Salvia miltiorrhiza that were reported to interact with warfarin to impact PT (INR) and control group (taking other herbal medicines). We followed up PT (INR) at 5-10 days interval with AST, ALT, BUN, creatinine, hematocrit, hemoglobin, and platelet count. Results : AST, BUN, creatinine, hemoglobin, hematocrit, and platelet count were not changed significantly between first and final tests during the admission period. Only ALT decreased significantly in the control group. Neither baseline nor peak PT (INR) was significantly different between the groups. However, only warfarin dose was significantly correlated with PT and INR (r=0.810, r=0.798, p<0.01). Conclusions : It was concluded that PT(INR) was not influenced with herbal medicines and warfarin but by far dependent on warfarin dose in stroke patients restricted with normal liver function, renal function, and hematocrit, hemoglobin, and platelet count. Further prospective study is needed on larger samples to conclude that the combined therapy of herbal medicines and warfarin is safe.

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Morphological Studies on Hair Growth Effect of Samultang-gamibang (사물탕가미방(四物湯加味方)이 원형탈모 생쥐의 발모효과에 관한 형태학적 연구)

  • Kwon, Gang-Joo;Lee, Chang-Hyun;Lee, Moon-Won;Mun, Yeun-Ja;Choi, Doo-Ho;Lee, Hak-Jae;Kim, Ho-Min;Woo, Won-Hong
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.19 no.3
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    • pp.696-704
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    • 2005
  • This experiment examined the effect of Samultang-gamibang (SGB) on hair growth in spontaneous alopecia areata C57BL/6N mice. We first investigated hair growth effect of SGB compare to control groups after apply to oral administration for 10 weeks and regional treatment in skin for last 4 weeks. We second investigated the number of hair follicle and mast cells after treatment of SGB in spontaneous alopecia areata C57BL/6N mice for 10 weeks. We third investigated immunoreactive density of neuropeptides in skin of spontaneous alopecia areata C57BL/6N mice by immunohistochemical methods. The results were as follows : Hair growing effect of experimental group was observed from 7 weeks after administration of SGB (87.5%). In experimental group, the number of mast cells and eosinophils was significantly decreased compare to control group. Immunoreactive density of substance P and corticotropin releasing factor (CRF) in skin of experimental group was weakly stained in epidermis and subcutaneous tissue compare to control group. Immunoreactive density of CRF-receptor (CRF-R), CRF-binding protein (CRF-BP) in skin of experimental group was increased in epidermis, sebaceous gland, inner root sheath, outer root sheath and secondary hair germ epithelium compare to control group. These results suggest that SGB may be used in treatment of alopecia areata.

Effects of Autotransfusion using Cell Saver in Open Heart Surgery (개심술시 Cell Saver를 이용한 자가수혈의 효과)

  • 윤경찬;최세영;유영선;이광숙;박창권
    • Journal of Chest Surgery
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    • v.31 no.1
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    • pp.28-31
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    • 1998
  • Homologous blood transfusion entails substantial risks, including allergic reactions, transmission diseases such as hepatitis, acquired immunodeficiency syndrome. Autotransfusion system is a common method of reducing the need for homologous blood transfusion during cardiac operation. Between July 1993 and July 1995, a series of 40 patients undergoing open heart surgery was selected to an autotransfusion group(n=20) or a control group(n=20). The cell saver system(AT1000, Electromedics, Englewood, CO, USA) was employed for autotransfusion. With this system, shed blood in operative field during cardiopulmonary bypass(CPB) and remained blood in cardiotomy reservior after CPB was aspirated by means of a locally heparinized collecting system. After centrifuge salvaged blood, the resulting red cell concentrate reinfused subsequently. The amounts of blood loss were 766.5$\pm$121.3 ml in cell saver group, 770.1$\pm$113.6 ml in control group, and there were no significant differences between two groups(P=NS). The amounts of blood transfused were 2.91$\pm$1.72 units in cell saver group, 4.82$\pm$1.72 units in control group. Composition of processed blood by cell saver was hemoglobin 17.4 gm%, hematocrit 56.4%, RBC 5,780,000/ul, WBC 9,900/ul, and platelet 33,000/ul. There was no complication related to cell saver. Conclusively, cell saver autotransfusion system is safe, effective method for reducing the homologous blood trasfusion in cardiac surgery.

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Relationships between a Calculated Mass Concentration and a Measured Concentration of PM2.5 and Respirable Particle Matter Sampling Direct-Reading Instruments in Taconite Mines (타코나이트 광산 공정에서의 실시간 질량측정기기와 실시간 수농도의 환산에 의한 질량농도와의 연관성)

  • Chung, Eun-Kyo;Jang, Jae-Kil;Song, Se-Wook;Kim, Jeongho
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.24 no.1
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    • pp.65-73
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    • 2014
  • Objectives: The purposes of this study are to investigate workers' exposures to respirable particles generated in taconite mines and to compare two metric methods for mass concentrations using direct-reading instruments. Methods: Air monitorings were conducted at six mines where subjects have been exposed primarily to particulate matters in crushing, concentrating, and pelletizing processes. Air samples were collected during 4 hours of the entire work shift for similarly exposure groups(SEGs) of nine jobs(N=37). Following instruments were employed to evaluate the workplace: a nanoparticle aerosol monitor(particle size range; 10-1000 nm, unit: ${\mu}m^2/cc$, Model 9000, TSI Inc.); DustTrak air monitors($PM_{10}$, $PM_{2.5}$, unit: $mg/m^3$, Model 8520, TSI Inc.); a condensation particle counter(size range; 20-1000 nm, unit: #/cc, P-Trak 8525, TSI Inc.); and an optical particle counter(particle number by size range $0.3-25{\mu}m$, unit: #/cc, Aerotrak 9306, TSI Inc.). Results: The highest airborne concentration among SEGs was for furnace operator followed by pelletizing maintenance workers in number of particle and surface area, but not in mass concentrations. The geometric means of $PM_{2.5}$ by the DustTrak and the Ptrak/Aerotrak were $0.04{\mu}m$(GSD 2.52) and $0.07{\mu}m$(GSD 2.60), respectively. Also, the geometric means of RPM by the DustTrak and the Ptrak/Aerotrak were $0.16{\mu}m$(GSD 2.24) and $0.32{\mu}m$(GSD 3.24), respectively. The Pearson correlation coefficient for DustTrak $PM_{2.5}$ and Ptrak/Aerotrak $PM_{2.5}$ was 0.56, and that of DustTrak RPM and Ptrak/Aerotrak RPM was 0.65, indicating a moderate positive association between the two sampling methods. Surface area and number concentration were highly correlated($R^2$ = 0.80), while $PM_{2.5}$ and RPM were also statistically correlated each other($R^2$ = 0.79). Conclusions: The results suggest that it is possible to measure airborne particulates by mass concentrations or particle number concentrations using real-time instruments instead of using the DustTrak Aerosol monitor that monitor mass concentrations only.

The Plasma Concentrations and Systemic Toxicity of Lidocaine after Maximal or Supramaximal Recommended Doses of Epidural Administration (경막외 Lidocaine의 최대사용량과 혈중농도에 대한 고찰)

  • Park, Han-Suk;Chung, Chan-Jong;Chin, Young-Jhoon
    • The Korean Journal of Pain
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    • v.12 no.1
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    • pp.36-42
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    • 1999
  • Background: The current maximal recommended doses of lidocaine are 7 mg/kg with $5\;{\mu}g/ml$ of epinephrine. But in clinical practice, sometimes more doses of lidocaine are required to produce adequate regional anesthesia. Method: Twenty-two healthy women patients were divided into two groups and pretreated with valium 5 mg p.o., morphine 5 mg i.m., and midazolam 2 mg i.v. before operation. Of these, 7 mg/kg of 2% lidocaine with $5\;{\mu}g/ml$ of epinephrine were given to 11 patients epidurally. Initial 3 ml of epinephrine mixed lidocaine was given as a test dose and remaining doses were given 5 ml/30 sec with 3 min intervals. Radial arterial blood were drawn at 5, 10, 15, 20, 30, 45, 60, 90, 120 min to measure plasma lidocaine concentrations. After confirming all of the peak plasma concentrations of 7 mg/kg lidocaine were absolutely under $5\;{\mu}g/ml$, the other 11 patients were given 10 mg/kg of 2% lidocaine with $5\;{\mu}g/ml$ of epinephrine epidurally and blood samplings were taken according to the same method of 7 mg/kg group. The peak plasma concentration ($C_{max}$), time to reach to $C_{max}$ ($T_{max}$), time to reach to $T_4$, maximal sensory block level, systemic toxicity, and vital sign changes were investigated. Result: $C_{max}$ was significantly higher in 10 mg/kg group ($5.1{\pm}1.3\;{\mu}g/ml$) than 7 mg/kg group($3.3{\pm}0.5\;{\mu}g/ml$), but $T_{max}$ ($10.5{\pm}2.7$ min vs $10.9{\pm}3.1$ min) was not different. Time to reach $T_4$ was significantly shorter in 10 mg/kg group ($9.5{\pm}2.7$ min) than 7 mg/kg group ($12.7{\pm}3.2$ min) but maximal sensory block level ($T_{3.7{\pm}0.7}$ vs $T_{2.7{\pm}1.0}$) was not different. In four patients of 10 mg/kg group, peak plasma concentrations exceeded $5\;{\mu}g/ml$, but no systemic toxicities appeared. No significant vital sign changes were observed. Conclusion: The current maximal recommended doses of lidocaine, merely based on body weight are not always appropriate. Further studies are needed to determine more precise guideline of maximal doses that include various pharmacokinetic components.

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Development of Hybrid Rice Facilitated by Cytoplasmic Genetic Male Sterility II. Responses of Korean Cultivars to the Chinese Cytoplasmic Genetic Male Sterile lines (웅성불임성을 이용한 수도잡종품종개발 II. 중공의 세포형질 유전적 웅성불임계통에 대한 몇가지 한국품종의 반응)

  • 허문회;김홍열;조윤희
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.29 no.3
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    • pp.227-231
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    • 1984
  • Chinese CGMS (Cytoplasmic-Genetic Male Sterility) is being transfered to Korean cultivars which will be used as CGMS maintainers. These maintainer lines along with the Chinese CGMS lines and their maintainer lines were crossed with another group of Korean cultivars which will be used as the fertility restorers, and their yield heterosis were examined. The yield heterosis was calculated as high as 113.0-221.1 % in terms of heterosis (F$_1$/Midparent) with the grand mean of 150.5%, and, 86.1-179.8% in terms of heterobeltiosis (F$_1$/better parent) with the grand mean of 125.3%. Among the female parent groups, Chinese mainteiners were the highest following by Chinese MS lines and the Korean maintainers were the lowest. Heterobeltiosis of yield components were 92.7%, 120.0%, 103.0% and 112.0% for number of panicles/unit area, number of grains/panicle, fertility per cent and 1000 grain weight, respectively. Path-coefficients of yield components to the yield were calculated. The highest one was number of grains per panicle ranging 0.8073-0.8649 followed by the 1000 grain weight ranging 0.2000-0.5032. The grain yield ratios to the grand mean were calculated in terms of combining ability. It was highest with the Chinese maintainers followed by Chinese MS lines and The Korean maintainers were lowest. This facts bring cautions to the breeding efforts to transfer the Chinese CGMS in to Korean maintainers.

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Smoking condition of students in dental hygiene and relations with self-esteem in a local district (일부지역 치위생과 학생들의 흡연 실태와 자아존중감과의 관계)

  • Lee, Sung-Lim;Go, Eun-Kyung;Choi, Jeong-Hee
    • Journal of Korean society of Dental Hygiene
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    • v.12 no.1
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    • pp.123-133
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    • 2012
  • Objectives : This study was performed to understand smoking condition and to investigate the relations among knowledge regarding smoking and oral hygiene, awareness of anti-smoking policy, and self-esteem, to provide fundamental basis, developing programs for smoking prevention and anti-smoking. Methods : From September 7, 2010 to September 16, 2010, questionaire survey was conducted for 566 female university students studying dental hygienics at a local district in Jeollanam-do. Collected data was analyzed by Chi-square test, t-test, one way ANOVA, Scheffe multiple range test, Perason's correlation test, and stepwise multiple regression test. Results : 1. Smoking condition of study subjects on general characteristics showed 17.1%, where 14.0% of previous smoking history, and 68.9% of currently nonsmoker. 2. Analysis on the knowledge related to smoking and oral hygiene, awareness of anti-smoking policy, and self esteem on the general characteristics of study subjects have shown better awareness of anti-smoking policy in non-alcoholics. Significant difference was found in knowledge about smoking and awareness of anti-smoking policy according to current resident status, but no difference found in self-esteem. Higher academic grade was related to higher awareness of anti-smoking policy and better ics. aalcell. Better health, but no diffeoral hygiene were related to better awareness of anti-smoking policy, and bewhich were statistically significant. Favorable interpersonal self-estehip was related to better awareness of anti-smoking policy. 3. Analysis on knowledge regarding smoking related health and oral hygiene, awareness of anti-smoking policy, and self-esteem showed higher level of anti-smoking knowledge in non-smoking group(60.44) compared to currently smoking group or group with previous history of smoking, and better awareness of anti-smoking policy in non-smoking group(53.54) than other groups, which was statistically significant. 4. Correlation analysis among smoking related knowledge, awareness of anti-smoking policy, and self-esteem has found relatively high correlation between smoking related knowledge and awareness of anti-smoking policy, which was statistically significant(r=0.481, p<0.001). 5. Among factors influencing awareness of anti-smoking policy, higher level of smoking related knowledge and satisfaction to specialty was related to higher awareness of anti-smoking policy which was lower in current smoker than past smoker, and higher academic grade was related to higher awareness of anti-smoking policy. Conclusions : Following results emphasize the need to establish a novel curriculum by which effective programs for smoking prevention and education of anti-smoking specialist could be provided as well as promoting coaching anti-smoking activity.

Rho-associated Kinase is Involved in Preimplantation Development and Embryonic Compaction in Pigs

  • Son, Myeong-Ju;Park, Jin-Mo;Min, Sung-Hun;Park, Hum-Dai;Koo, Deog-Bon
    • Journal of Embryo Transfer
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    • v.25 no.2
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    • pp.103-110
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    • 2010
  • The first morphogenetic event of preimplantation development, compaction, was required efficient production of porcine embryos in vitro. Compaction of the porcine embryo, which takes place at post 4-cell stage, is dependent upon the adhesion molecule E-cadherin. The E-cadherin through ${\beta}$-catenin contributes to stable cell-cell adhesion. Rho-associated kinase (ROCK) signaling was found to support the integrity of E-cadherin based cell contacts. In this study, we traced the effects of ROCK-1 on early embryonic development and structural integrity of blastocysts in pigs. Then, in order to gain new insights into the process of compaction, we also examined whether ROCK-1 signaling is involved in the regulation of the compaction mediated by E-cadherin of cellular adhesion molecules. As a result, real-time RT-PCR analysis showed that the expression of ROCK-1 mRNA was presented throughout porcine preimplantation stages, but not expressed as consistent levels. Thus, we investigated the blastocyst formation of porcine embryos treated with LPA and Y27632. Blastocysts formation and their qualities in LPA treated group increased significantly compared to those in the Y27632-treated group (p < 0.05). Then, to determine whether ROCK-1 associates embryonic compaction, we explored the effect of activator and/or inhibitor of ROCK-1 on compaction of embryos in pigs. The rate of compacted morula in LPA treated group was increased compared to that in the Y27632-treated group (39.7 vs 12.0%). Furthermore, we investigated the localization and expression pattern of E-cadherin at 4-cell stage porcine embryos in both LPA- and Y27632-treated groups by immunocytochemical analysis and Western blot analysis. The expression of E-cadherin was increased in LPA-treated group compared to that in the Y27632-treated group. The localization of E-cadherin in LPA-treated group was enriched in part of blastomere contacts compared to that Y27632-treated group. ROCK-1 as a crucial mediator of embryo compaction may plays an important role in regulating compaction through E-cadherin of the cell adhesion during the porcine preimplantation embryo. We concluded that ROCK-1 gene may affect the developmental potential of porcine blastocysts through regulating embryonic compaction.

The Effect of Tannic Acid to the Cadmium on Mouse (Tannic acid가 랫드의 카드뮴독성에 미치는 영향)

  • 김판기;안령미;황성희
    • Journal of Food Hygiene and Safety
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    • v.13 no.2
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    • pp.87-93
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    • 1998
  • The tannic acid (0.5 mg/ml, 1.0 mg/mi, 2.0 mg/ml) and/or cadmium (20 mg/kg) were administered by oral administration. The results were as follows: 1. There were adverse effects on the weight changes and water consumption. But, the extent of adverse changes were decreased by tannic acid administration. 2. Also, there were some significant changes in organ weight, especially relative liver weight and relative brain weight by cadmium administration, but Ta1.0 group was significant changes in relative liver weight, relative lung weight and relative thymus weight compared with control group. 3. In the hematological patterns of administered mice, there were significant changes between cadmium treated groups and control group. Hemoglobin contents, packed cell volume, platelet count and neutrophill count were significantly change compared with control group. These changes were not shown in tannic acid treated group. 4. There were serological enzymatic changes in the cadmium treated mouse. In the tannic acid treated group 0.5, 1.0, 2.0 mg/ml, ALT, AST, BUN and creatinine were recovered to the extent of control group. From the above results, the tannic acid has some possible alleviative effects of cadmium toxicity upto the 2.0 mg/ml/day of oral dose for 4 weeks. But we need further study of mechanism for toxicty alleviating action of tannic acid to the heavy metals like cadmium.

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Effects of Handling and Transport Vehicle on Stress and Carcass Quality of Market Pigs (출하취급과 차량형태가 출하돈의 스트레스와 도체품질에 미치는 영향)

  • Kim, Doo-Hwan;Song, Jun-Ik;Jeon, Jung-Hwan
    • Journal of Animal Environmental Science
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    • v.17 no.2
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    • pp.101-106
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    • 2011
  • One hundred and forty-four cross-bred market pigs weighing approximately 110 kg were randomly divided into four groups in a 2 (handling stress; minimal vs stimulated) ${\times}$ 2 (transport vehicle type; enclosed box vs conventional open) factorial arrangement of treatments. The stimulated handling stress group received overally rough handling including electric prod stimulation during loading, transport and lairage at least once at each step. All the animals received 3-h lairage prior to slaughter. Blood and longissimus dorsi muscle (LM) samples were taken at slaughter and after overnight chilling of the carcass, respectively. Plasma concentrations of stress indicators glucose, cortisol, creatine kinase and lactate dehydrogenase were greater in the stimulated vs minimal handling stress group. There were no interactions between the handling stress and transport vehicle type in their effects on these blood variables. The incidence of pale, soft and exudative (PSE) carcass and drip loss of LM, 24-h postmortem LM pH and color including the lightness and redness were not affected by the handling stress and transport vehicle type. In conclusion, results suggest that rough handling inflicts a stimulated stress on the animal, which is manifested by increased blood concentrations of stress indicators, and therefore should be avoided for animal welfare.